HomeMy WebLinkAboutBienstock. Albert - 2019 2nd Friday Pre-Election COMMONWEALTH OF PENNSYLVANIA
CAMPAIGN FINANCE STATEMENT
File this in lieu of a full report only if aggregate receipts, expenditures, or
liabilities incurred each did not exceed $250.00 during the reporting period.
IFILER IDENTIFICATION REPORT FILM) I• '. .1 3. -,
NUMBER
ON BEHALF OF 111110. CANDIDATE ✓ COMMITTEE LOBBYIST
NAME OF PILING COMMITTEE,CANDIDATE OR LOBBYIST
.18.F:PT /i ✓j/ iY-fr9r
STREET ADDRESS
�.3 O'- AOA/e-,5-4 WI.
CITY STATE ZIP CODE _ -
ehWA ///Z1- ,/✓ 1 7D/ 4101.0
TYPE OF REPORT NAME OF OFFICE SOUGHT BY CANDIDATE DISTRICT NO. PARTY DATE OF ELECTION
• (CHECK ONE) MO. DAY YEAR
61-14 TUESDAY .' 73(11A j//P CoM.r!7,..CS7.0A/fi f /p)g, 1/ e4" D/9
PRE-PRIMARY FOR OFFICE USE ONLY
MO. DAY YEAR MO. DAY YEAR - - - - - -
2ND FFRIDAY 2. DATES OF
PND RtMARY REPORTING �f �/ TO
PERIOD . el /1 Jo�9 "o /ay 4e/9
30 DAY 3. C 0
- _ C
POST-PRIMARY
CASH BALANCE AT END
CO C
6TH TUESDAY 4. OF REPORTING PERIOD: $ - - Cri I;j
PRE-ELECTION
TOTAL AMOUNT OF FILER'S N
s.
2No FRIDAY OUTSTANDING DEBTS OR LIABILITIES = Ill
PRE-ELECTION Y AT THE END OF REPORTING PERIOD:' $ ^ a — -0
8. 0
30 DAYAMENDMENT -Ccrti
POST-ELECTION YES NO
REPORT? O
"
7. C .0"
ANNUAL TERMINATION
REPORT REPORT? YES NO ✓
AFFIDAVIT SECTION
PART I- N
If statement is filed on behalf of a Political Committe%or Caj 4tes's Committee,the Treasurer must sign here.
If statement is filed on behalf of a Candidate,the Gag iidttt-ravu5t sign here.
If statement is filed on behalf of a Contributing Lobb943t, i�lapyist must sign here.
I SWEAR(OR AFFIRM)THAT THE AGGREGATE RECEIPTS OR DISBURSEMEtfrs OFQ If 31gT I&INCURRED DURING THE REPORTING PERIOD INDICATED ABOVE DID NOT
EXCEED TWO HUNDRED AND FIFTY DOLLARS(5250.00)AND THIS REPOSE g,2.0-ozE T OF MY KNOWLEDGE AND BELIEF,TRUE,CORRE'T AND COMPLETE.
SWORN TO AND SUBSCRIBED BEFORE ME THIS LL J m E d co
C:4 .D OF illii % 4-144/ 20M c U L11 Z SION•T R • •ERSON SU:M ING REPORT
�/ 4 p Y 3 o J.�iQ T N. .�/b--"esTOc 1!
IGNATURE Z LL Z PRINTED NAME
^� 2 J V E w
MY COMMISSION EXP RES xi of �l 7 .5-6:4_ 7,3 7
O. DAY YR. Y O D 0 w AREA CODE DAYTIME TELEPHONE NUMBER
U -
PART II -
If statement is filed on behalf of a Candidate's Authori ---• -e,Candidate must sign here.
2 st:ea
� w
QQ
I SWEAR(OR AFFIRM)THAT TO THE BEST OF MY KNOWLEDGE AND BE§ TIOSQN *-AL COMMA iEt HAS NOT VIOLATED ANY PROVISIONS OF'THE ACT OF
JUNE 3, 1937(P.L. 1333,No.320)AS AMENDED. } a' o Z
to rVt o �-
SWORN TO AND SUBSCRIBED BEFORE ME. THIS Z .c E p ,L/� �J -Z---1)
WNZ m� a7 -eA/ /V•U/J/FRE OF ANO AT
E
`DA OF 20 J .- G . i5'
I Cr'-o 0 X1 PRINTED NAME
SIGNATURE --I FF-- mac < _
2 Y3 0
MY C MMISStON EXPI Q-•.� } l Z if c.N cnAREA CODE DAYTIME TELEPHONE NUMBER
MO. DAY YR. J 2 m.Ez
2 ,
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Department of State • i refint, missions,Elections and Legislation
DSEB-503(12-99) 210 North Office Building 0• Ha - Irg,PA 17120-0029 0 (717)787-5280